hs/ke/nl/nl

Name of the Patient : Abc Xyzi Bhadlmn / F / 73 yrs.
Referred by : Dr. Abc Xyzpadia.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O loss of consciousness since the morning of 00.00.0000 with ? seizure.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

Diffuse areas of hyperintensity on the proton, T2 Weighted and Flair images are noted within the periventricular white matter bilaterally. These are hypointense on the T1 Weighted images and are most likely ischemic in etiology.

Lacunar infarcts (iso to hyperintense to CSF) are noted within the lentiform nuclei bilaterally.

There is prominence of the Sylvian fissures and cerebral cortical sulci (especially in the parieto-occipital regions) bilaterally. Also seen is mild prominence of the cerebellar folia and basal cisternal spaces bilaterally.

There is mild to moderate dilatation of both the lateral ventricles. There is mild fullness of the third and fourth ventricles.



Note is made of an empty sella.

The normal lens within both globes is not visualized and this may be the result of previous cataract surgery.

There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of :

1. Diffuse areas of altered signal within the periventricular white matter bilaterally are most likely ischemic in etiology.

2. Lacunar infarcts within the lentiform nuclei bilaterally.

3. Mild to moderate dilatation of both the lateral ventricles.

4. Cerebral and cerebellar atrophy.